Active NPI
Alvydas Kukleris, DDS
- Dentist
- Schertz, TX
National Provider Identifier
1770839599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28311
- Practice address
- 1248 FM 78
Suite 105
Schertz, TX 78154-2465 - Phone
- (210) 375-5256
- NPI assigned
- Jul 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28311 | TX | Primary |
Addresses
Primary practice location
1248 FM 78
Suite 105
Schertz, TX 78154-2465
Mailing address
1248 FM 78
Suite 105
Schertz, TX 78154-2465
Phone (210) 375-5256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141209002567 | TX | Order and Referring Only - Dentist | 9436471083 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28311 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Double Arc Dental | Past | Accepting new patients | |
| Vsa Dental PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Schertz, TX
- NPI 1235481870
-
- General Practice Dentistry
- Schertz, TX
- NPI 1558169078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1770839599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1248 FM 78",
"address_2": "SUITE 105",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781542465",
"telephone_number": "210-375-5256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 FM 78",
"address_2": "SUITE 105",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781542465",
"telephone_number": "210-375-5256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUKLERIS",
"first_name": "ALVYDAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-30",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schertz, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.